To amend title 46, United States Code, to make changes with respect to direct loans by the Department of Transportation and the Maritime Administration for financing of fishing vessels, and for other purposes.

Amend title XVIII of the Social Security Act to provide coverage of ALS-related services under the Medicare program for individuals diagnosed with amyotrophic lateral sclerosis, and for other purposes.

Amend the Family Violence Prevention and Services Act to make improvements.

Amend the Energy Independence and Security Act of 2007 to reauthorize water power research, development, demonstration, and commercial application activities, and for other purposes.

Amend title XVIII of the Social Security Act to increase the floor for the practice expense and work geographic indices for certain areas.